HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((�
Date: Permit Number: �'�fb�
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOSED_INP ROVEIVIENT LOCATIQN ' " „p
Address: 3635 S. 25TH STREET
Legal Description: 29 35 40 N 110'OF S 220'OF N 385'OF SE 1/4 OF SE 1/4 LYGE OF CANAL 29-LESS E 60' RD RNV
Property Tax ID#: 2429-441-0002-100-3 Lot No.
Site Plan Name: Block No.
Project Name: A NR OFF REROCIF
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF`WORK `
TEAR-OFF SHINGLE. RE-NAIL DECK. INSTALL NEW 5V CRIMP METAL PANEL ROOF SYSTEM OVER
SELF-ADHERED UNDERL.AYMENT. (38SQ./6:12&3:12P)
C6 STRUCTttON INFORMATION ” 'c N„ a
Additional work toe performed under this permit—cneCK all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 3800 SFt.of First Floor:
Cost of Construction:$ 14,780.00 Lltilities:n Sewer Septic Building Height:
OWNER/LESSEE} i „ C�JNTRACTOR•
Name MARC ARNOFF Name: KYLE'WHITE
Address:3635 S.25TH STREET Company: J.A.TAYLOR ROOFING, INC.
City: FORT PIERCE State:FIL Address: 302 MELTON DRIVE
Zip Code: 34981 Fax: City: FORT PIERCE State:FL
Phone No. 772-577-1903 Zip Code: 34982 Fax: 772-468-8397
E-Mail: Phone No. 772-466-4040
Fill in fee simple Title Holder on next page(if different E-Mail: karenfortaylorQaol.com
from the Owner listed above) State or County License: CCC1325895
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
s
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: T.C.B.E.,INC. - HARVEYKOEHNEN Name:
Address:7205 ELYSE CIRCLE Address:
City: PORT ST.LUCIE State: FL City: State:
Zip: 34952 Phone: 772-466-5509 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the fy' t inspection. If you intend to obtain financing, consult with lender or an attorney before
commenciri ork or recording our Notice of Commencement.
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Sig re o Owner/Agent/Lessee Si at$ e o ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OFSAINTLUCIE
The forgoing instrument was acknowled ed before me The forgoing instrument was acknowledged before me
this 27TH day of APRIL 20by this 27TH day of APRIL 20E�:tby
KYLE WHITE KYLE WHITE
(Name of rson ackn Idging) (Name of person nowledgi g
i ,
ignature of Notary ublic-State of Florida) (Signature of Notary Public-State of Florida )
Personally Known X KAR 1dtEt�E onally Known X OR Produced Identification
"'��""'' T e of Identification Produced
Type of Identification Produ ?`'.•"°s'% �
o KAREN
Commission Expires S. NIELSE
FF115637 % P� � C mIS510n NO. FF115637 =* * e mission q FF 115
Commission No. - � ( e I)June 12, 2018 Q fY" 7
y Commission Expir
June 12, 2018
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED